Senior Medical Students in the COVID-19 Response: An opportunity to be proactive.
Abstract On March 13th, the United States (US) declared the novel coronavirus (COVID-19) pandemic a national emergency. By March 18th , according to the Centers for Disease Control and Prevention, COVID-19 had spread to all 50 US states, with 7,038 cases and 97 deaths.1 The trajectory of cases mirrors that of Italy, where doctors are forced to consider who is more deserving of a ventilator.2 In response, social distancing measures are being promoted across the US in the hopes of slowing the growth in new cases, i.e. "flattening the curve." This could maintain the demand for acute care within the healthca...
Source: Accident and Emergency Nursing - March 25, 2020 Category: Emergency Medicine Authors: Stokes DC Tags: Acad Emerg Med Source Type: research

Application of Different Commercial Tourniquets by Laypersons: Would Public-access Tourniquets Work Without Training?
CONCLUSIONS: Our study suggests that laypersons could benefit from prior training to effectively apply tourniquets in emergency situations. Of the tourniquets studied, the RMT was the most effectively and most rapidly applied. PMID: 32202366 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 23, 2020 Category: Emergency Medicine Authors: Portela RC, Taylor SE, Sherrill CS, Dowlen WS, March J, Kitch B, Brewer K Tags: Acad Emerg Med Source Type: research

COVID-19: A Singapore Orthopedic resident's musings in the Emergency Department.
Abstract I felt my heart skip a beat as I took off my lead gown, preparing to put in my post-operative orders. A transient wave of apprehension, and I daresay fear swept past me that very moment. It has been a good 8 years since I've graduated medical school, with nary an exposure to emergency medicine since my intern days. I wasn't sure I could remember how to read an EKG accurately, much less manage a patient in respiratory failure. PMID: 32198801 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 21, 2020 Category: Emergency Medicine Authors: Liang ZC, Ooi SBS Tags: Acad Emerg Med Source Type: research

A Novel Coronavirus Outbreak from Wuhan City in China, Rapid Need for Emergency Departments Preparedness and Response; a Letter to Editor.
PMID: 32185368 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 19, 2020 Category: Emergency Medicine Authors: Alavi-Moghaddam M Tags: Arch Acad Emerg Med Source Type: research

Liver and Kidney Injuries in COVID-19 and Their Effects on Drug Therapy; a Letter to Editor.
PMID: 32185369 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 19, 2020 Category: Emergency Medicine Authors: Rismanbaf A, Zarei S Tags: Arch Acad Emerg Med Source Type: research

Information Typology in Coronavirus (COVID-19) Crisis; a Commentary.
PMID: 32185370 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 19, 2020 Category: Emergency Medicine Authors: Ashrafi-Rizi H, Kazempour Z Tags: Arch Acad Emerg Med Source Type: research

Coronavirus Pandemic and Worries during Pregnancy; a Letter to Editor.
PMID: 32185371 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 19, 2020 Category: Emergency Medicine Authors: Rashidi Fakari F, Simbar M Tags: Arch Acad Emerg Med Source Type: research

Systematic review of aortic dissection detection risk score plus D-dimer for diagnostic rule-out of suspected acute aortic syndromes.
Abstract OBJECTIVES: In patients at low clinical probability of acute aortic syndromes (AASs), decision on advanced aortic imaging is cumbersome. Integration of the aortic dissection detection risk score (ADD-RS) with D-dimer (DD) provides a potential pipeline for standardized diagnostic rule-out. We systematically reviewed and summarized supporting data. METHODS: Cross-sectional studies assessing integration of ADD-RS with DD for diagnosis of AASs were identified on MEDLINE, EMBASE and Web Of Science databases. Two reviewers independently screened articles, assessed quality and extracted data. The quality of...
Source: Accident and Emergency Nursing - March 18, 2020 Category: Emergency Medicine Authors: Bima P, Pivetta E, Nazerian P, Toyofuku M, Gorla R, Bossone E, Erbel R, Lupia E, Morello F Tags: Acad Emerg Med Source Type: research

Stoicism Defeats Burnout.
Abstract The word 'stoic' brings images of a cold, emotionless logician. This misleading caricature steers individuals away from an effective tool for personal wellness. The tranquil (not apathetic) stoic prioritizes three core principles: Virtue, Control of Emotions, and Community. Early Stoics built on Hippocrates's philosophy, but rarely does the medical literature highlight this timeless wisdom. Let us revive this surgically precise antidote for burnout. Overcome harmful, negative emotions by recognizing them as judgements. Strive to be "free from passions and yet full of love." Notice and appreciate...
Source: Accident and Emergency Nursing - March 18, 2020 Category: Emergency Medicine Authors: Huecker MR Tags: Acad Emerg Med Source Type: research

The Champagne Tap: Time to Pop the Cork?
Abstract Champagne, a sparkling wine produced from grapes grown in the Champagne region of France, is the requisite drink of celebration, symbolizing all things congratulatory from new years to new unions. A "champagne tap" colloquially refers to a lumbar puncture (LP) with no cerebrospinal (CSF) red blood cells (RBCs), which appears colorless (reminiscent of its clear bubbly namesake) and signifies a technically perfect procedure. PMID: 32187765 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 18, 2020 Category: Emergency Medicine Authors: Green RS, Cruz AT, Freedman SB, Fleming AH, Balamuth F, Pruitt CM, Lyons TW, Okada PJ, Thompson AD, Mistry RD, Aronson PL, Nigrovic LE, Herpes Simplex Virus Study Group of the Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC) Tags: Acad Emerg Med Source Type: research

"Take an HIV Test Kit Home": A Pilot Randomized Controlled Trial among HIV High-Risk Urban ED Patients.
"Take an HIV Test Kit Home": A Pilot Randomized Controlled Trial among HIV High-Risk Urban ED Patients. Acad Emerg Med. 2020 Mar 18;: Authors: Kim AS, Patel AV, Gaydos CA, Jett-Goheen M, Abrams SM, Latkin CA, Rothman RE, Hsieh YH Abstract The Centers for Disease Control and Prevention (CDC) recently recommended that people who inject drugs, men who have sex with men (MSM), and heterosexuals at increased risk, should be screened for HIV at least once annually and sexually active MSM from testing every 3-6 months. 1 However, national surveys show that up to 70 percent of these high-risk indivi...
Source: Accident and Emergency Nursing - March 18, 2020 Category: Emergency Medicine Authors: Kim AS, Patel AV, Gaydos CA, Jett-Goheen M, Abrams SM, Latkin CA, Rothman RE, Hsieh YH Tags: Acad Emerg Med Source Type: research

An Emergency-Medicine Focused Summary of the HFSA/SAEM/ISHLT Clinical Consensus Document on the Emergency Management of Patients with Ventricular Assist Devices.
Abstract Mechanical circulatory support is increasingly used as a long-term treatment option for patients with end-stage heart failure. Patients with implanted ventricular assist devices are at high risk for a range of diverse medical urgencies and emergencies. Given the increasing prevalence of mechanical circulatory support devices, this expert clinical consensus document seeks to help inform emergency medicine and prehospital providers regarding the approach to acute medical and surgical conditions encountered in these complex patients. PMID: 32176420 [PubMed - as supplied by publisher] (Source: Accident a...
Source: Accident and Emergency Nursing - March 16, 2020 Category: Emergency Medicine Authors: Darling CE, Martindale JL, Hiestand BC, Bonnell M, Colvin M, DeFilippis EM, Elliott Rn T, Msn, Hamad E, Pinney SP, Shah KB, Vierecke J, Givertz MM Tags: Acad Emerg Med Source Type: research

Can emergency physicians accurately rule out a central cause of vertigo using the HINTS exam? A systematic review and meta-analysis.
CONCLUSIONS: The HINTS exam when used in isolation by emergency physicians has not been shown to be sufficiently accurate to rule out a stroke in those presenting with AVS. PMID: 32167642 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 13, 2020 Category: Emergency Medicine Authors: Ohle R, Montpellier RA, Marchadier V, Wharton A, McIsaac S, Anderson M, Savage D Tags: Acad Emerg Med Source Type: research

Uncertain Value of High-sensitive Troponin T for Selecting Patients With Acute Pulmonary Embolism for Outpatient Treatment by Hestia Criteria.
MV, Vesta Investigators PMID: 32163216 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 12, 2020 Category: Emergency Medicine Authors: Hendriks SV, Lankeit M, den Exter PL, Zondag W, Brouwer R, Eijsvogel M, Grootenboers MJ, Faber LM, Heller-Baan R, Hofstee HMA, Iglesias Del Sol A, Mairuhu ATA, Melissant CF, Peltenburg HG, van de Ree MA, Serné EH, Konstantinides S, Klok FA, Huisman MV, V Tags: Acad Emerg Med Source Type: research

The Utility of Focused Assessment with Sonography for Trauma (FAST) Enhanced Physical Examination in Children with Blunt Torso Trauma.
CONCLUSIONS: In children, FAST and physical examinations each predicted the identification of IAI. However, the combination of the two (exFAST) had greater sensitivity and NPV than either physical examination or FAST alone. This supports the use of exFAST in refining clinical predication rules in children with blunt torso trauma. PMID: 32159909 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 11, 2020 Category: Emergency Medicine Authors: Kornblith AE, Graf J, Addo N, Newton C, Callcut R, Grupp-Phelan J, Jaffe DM Tags: Acad Emerg Med Source Type: research

Impact of High Sensitivity Troponin Testing on Operational Characteristics of an Urban Emergency Department.
Abstract Emergency Department (ED) and hospital overcrowding is a major issue impacting healthcare institutions all over the country. About 6% of all ED visits and about 27% of all admissions are related to chest pain. According to some studies, utilization of the newer High-Sensitivity Troponin (hs-TnT) assays is an effective way to improve early identification of acute coronary syndrome (ACS). PMID: 32153064 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 9, 2020 Category: Emergency Medicine Authors: Furmaga J, McDonald SA, Hall HM, Muthukumar A, Willett K, Basit M, Diercks DB Tags: Acad Emerg Med Source Type: research

Depression and Functional Outcomes in Patients Presenting to the Emergency Department With Low Back Pain.
CONCLUSIONS: Significant positive temporal associations exist between initial severity and 3-month progression of depressive symptoms and 3-month pain intensity and disability outcomes for ED patients with low back pain. Future work is needed to investigate whether behavioral interventions initiated from the ED may mitigate the incidence and severity LBP-related chronic pain and functional impairments. PMID: 32153095 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 9, 2020 Category: Emergency Medicine Authors: Ring J, Peskoe S, Zhao C, Friedman BW, George SZ, Eucker SA Tags: Acad Emerg Med Source Type: research

Shared Decision-making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial.
CONCLUSIONS: Among ED patients with unexplained syncope, a randomized controlled trial of a shared decision-making tool is feasible. Although this study was not powered to detect differences in clinical outcomes, it demonstrates feasibility, while providing key lessons and effect sizes that could inform the design of future SDM trials. PMID: 32147870 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 9, 2020 Category: Emergency Medicine Authors: Probst MA, Lin MP, Sze J, Hess EP, Breslin M, Frosch DL, Sun BC, Langan MN, Thiruganasambandamoorthy V, Richardson LD Tags: Acad Emerg Med Source Type: research

Emergency management of the prevention and control of novel coronavirus pneumonia in specialized branches of hospital.
Abstract In December 2019, an epidemic of novel coronavirus pneumonia (NCP) broke out in Wuhan, Hubei Province. The outbreak was severe and coincided with the Spring Festival travel season. On January 15, 2020, the West China Hospital of Sichuan University, a large hospital in China, held a seminar on prevention and control in accordance with the requirements of the National Health Commission on Prevention and Control. On January 16, the emergency plan for the prevention and treatment of NCP in West China Hospital of Sichuan University was formulated for the first time. PMID: 32147890 [PubMed - as supplied by...
Source: Accident and Emergency Nursing - March 9, 2020 Category: Emergency Medicine Authors: Qing MX, Li S, Yu S, Ouyang Y, Zeng L, Li X, Li H Tags: Acad Emerg Med Source Type: research

Emergency Potassium Normalization Treatment Including Sodium Zirconium Cyclosilicate: A Phase II, Randomized, Double-Blind, Placebo-Controlled Study (ENERGIZE).
CONCLUSIONS: This pilot study suggested that SZC with insulin and glucose may provide an incremental benefit in the emergency treatment of hyperkalemia over insulin and glucose alone. PMID: 32149451 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 9, 2020 Category: Emergency Medicine Authors: Peacock WF, Rafique Z, Vishnevskiy K, Michelson E, Vishneva E, Zvereva T, Nahra R, Li D, Miller J Tags: Acad Emerg Med Source Type: research

Inter-Rater Reliability of Clinical Frailty Scores for Older Patients in the Emergency Department.
Abstract Over 50 million U.S. adults 65 years and older account for>20 million emergency departments (ED) visits each year. Increasing ED use by older adults is projected to exceed the capacity of U.S. EDs. The traditional ED model of care is ill-equipped to address the many complex care needs of older adults. PMID: 32141671 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 6, 2020 Category: Emergency Medicine Authors: Lo AX, Heinemann AW, Gray E, Lindquist LA, Kocherginsky M, Post L, Dresden SM Tags: Acad Emerg Med Source Type: research

Gangrene; A medical student's perspective on the dying patient.
Abstract My nails dripping with polish of deep purples and blues; Your toes take the same shade: Strangled gangrenous hues. PMID: 32129533 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 4, 2020 Category: Emergency Medicine Authors: Shimshoni D Tags: Acad Emerg Med Source Type: research

Utilization of a Read-Only Pacemaker and Defibrillator Interrogator in the Emergency Department and Hospital.
Abstract There are more than 3 million patients with pacemakers and internal cardioverter defibrillators (also known as cardiac-implanted electronic devices or CIEDs) in the US (1), and the number of patients presenting to emergency departments (EDs) with CIED complications is likely to increase. Patients may present with complaints of chest pain, shortness of breath, sensation of shock, syncope, fatigue or dizziness as a sign of CIED malfunction and the device would need to be interrogated. Earlier studies have demonstrated that CIED interrogation results in a low (~10%) rate of reprogramming (2,3). PMID: 32...
Source: Accident and Emergency Nursing - March 3, 2020 Category: Emergency Medicine Authors: Neuenschwander J, Le T, Parekh A, Hiestand B, Cordial P, Le H, Hammil E, Kojasoy T, Peacock WF Tags: Acad Emerg Med Source Type: research

Hospital Emergency Management Plan During the COVID-19 Epidemic.
Abstract The confirmed and suspected cases of the 2019 novel coronavirus disease (COVID-19) have increased not only in Wuhan, Hubei Province but also China and the world. Enormous demand for handling the COVID-19 outbreak challenged both the healthcare personnel and medical supply system. In West China Hospital, Emergency Department (ED) undertook the mission of clinical reception, primary diagnosis, and interim treatment for the suspected cases of COVID-19. PMID: 32124506 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - March 2, 2020 Category: Emergency Medicine Authors: Cao Y, Li Q, Chen J, Guo X, Miao C, Yang H, Chen Z, Li C Tags: Acad Emerg Med Source Type: research

Accuracy of patients' waiting time perceptions in the emergency department.
ra S Abstract In a recent publication, Suriyawongpaisal et al. (2019) indicate that waiting time lies among the top priorities for patients. The researchers note care providers should focus on managing perceptions rather than decreasing actual waiting time to improve patient experience. PMID: 32103560 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 27, 2020 Category: Emergency Medicine Authors: Abidova A, Alcântara da Silva P, Moreira S Tags: Acad Emerg Med Source Type: research

Accuracy of Biomarkers for the Diagnosis of Adult Community-acquired Pneumonia: A Meta-analysis.
CONCLUSIONS: The best evidence supports CRP as the preferred biomarker for diagnosis of outpatient CAP given its accuracy, low cost, and point-of-care availability. PMID: 32100377 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 26, 2020 Category: Emergency Medicine Authors: Ebell MH, Bentivegna M, Cai X, Hulme C, Kearney M Tags: Acad Emerg Med Source Type: research

Prone positioning for acute respiratory distress syndrome in adults.
Abstract Acute respiratory distress syndrome (ARDS) is a type of acute diffuse, inflammatory lung injury leading to increased pulmonary vascular permeability and loss of aerated lung tissue. Clinically this process manifests as hypoxemia, radiographic opacities, increased physiologic dead space and decreased lung compliance.1 It is a common disease process affecting as many as 10% of intensive care unit (ICU) admissions, resulting in an overall mortality approaching 35%. PMID: 32096893 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 25, 2020 Category: Emergency Medicine Authors: Valesky W, Chow L Tags: Acad Emerg Med Source Type: research

Randomized Clinical Trial of IV Acetaminophen as an Adjunct to IV Hydromorphone for Acute Severe Pain in Emergency Department Patients.
CONCLUSION: The addition of 1g of IV acetaminophen to 1mg of IV hydromorphone provided neither clinically meaningful nor statistically superior analgesia than hydromorphone alone. PMID: 32077553 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 20, 2020 Category: Emergency Medicine Authors: Bijur PE, Friedman BW, White D, Wollowitz A, Campbell C, Jones M, Chang AK, Gallagher EJ Tags: Acad Emerg Med Source Type: research

The effect of rapid fluid infusions on transabdominal pelvic ultrasound timing among female pediatric patients: a randomized control pilot trial.
Abstract Transabdominal ultrasound is a common non-invasive method to evaluate abdominal pain in females who are not sexually active. Unlike transvaginal ultrasounds, the patient's bladder must be full to receive a high-quality sonographic view. Oral or intravenous (IV) fluids and bladder filling through a transurethral catheter are both used. For pediatric patients, transurethral catheterization raises concerns over modesty and virginity, favoring IV fluids. PMID: 32073199 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 19, 2020 Category: Emergency Medicine Authors: Chang TP, Ringold SM, Lichtenfeld N, Nguyen P, Paz D, Festekjian A Tags: Acad Emerg Med Source Type: research

A Call for Collaboration: Knowledge Dissemination to Improve the Emergency Care of Children.
Abstract Most children seeking emergency care are evaluated and treated in general emergency departments (EDs) that are not pediatric focused. Data from the 2013 Pediatric Readiness Survey has shown that many general emergency departments are not prepared to treat pediatric patients, and that critically ill patients treated in emergency department with low readiness scores have a higher mortality (1). General emergency departments and non-pediatric hospitals often lack the equipment and expertise to implement treatment plans according to the latest pediatric guidelines and procedures. Furthermore, they are often l...
Source: Accident and Emergency Nursing - February 19, 2020 Category: Emergency Medicine Authors: Shihabuddin BS, Weinstock M, Fritter J, Lo C, Stanley R Tags: Acad Emerg Med Source Type: research

Measuring Agreement Among Prehospital Providers and Physicians in Patient Capacity Determination.
CONCLUSION: There was poor inter-rater reliability in capacity determination between and among the prehospital provider and physician cohorts. This suggests that there is need for additional study and standardization of this task. PMID: 32065493 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 17, 2020 Category: Emergency Medicine Authors: O'Connor L, Porter L, Dugas J, Robinson C, Carrillo E, Knowles K, Nelson KP, Gigiliotti R, Tennyson J, Weisberg S, Rebesco M Tags: Acad Emerg Med Source Type: research

The Effect of Patient Observation on Cranial Computed Tomography Rates in Children with Minor Head Trauma.
CONCLUSION: Even in a setting with low overall cranial CT rates in children with minor head trauma, planned observation was associated with decreased cranial CT use. This strategy can be safely implemented on selected patients in the PECARN intermediate and higher-risk groups for ciTBI. PMID: 32064711 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 16, 2020 Category: Emergency Medicine Authors: Singh S, Hearps SJC, Borland ML, Dalziel SR, Neutze J, Donath S, Cheek JA, Kochar A, Gilhotra Y, Phillips N, Williams A, Lyttle MD, Bressan S, Hoch JS, Oakley E, Holmes JF, Kuppermann N, Babl FE, Paediatric Research in Emergency Departments International Tags: Acad Emerg Med Source Type: research

Shared Decision Making in Patients With Suspected Uncomplicated Ureterolithiasis: A Decision Aid Development Study.
CONCLUSIONS: Using stakeholder engagement and qualitative inquiry, we developed an evidence-based DA to facilitate SDM around the question of CT scan utilization in patients with suspected uncomplicated ureterolithiasis. Future research will test the efficacy of the DA in facilitating SDM. PMID: 32064724 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 16, 2020 Category: Emergency Medicine Authors: Schoenfeld EM, Houghton C, Patel PM, Merwin LW, Poronsky KP, Caroll AL, Sánchez Santana C, Breslin M, Scales CD, Lindenauer PK, Mazor KM, Hess EP Tags: Acad Emerg Med Source Type: research

Impact of Physician-Patient Language Concordance on Patient Outcomes and Adherence to Clinical Chest Pain Recommendations.
CONCLUSION: No associations were found between patient-physician language concordance and outcomes or physician adherence to clinical recommendations for ED patients with chest pain. Accessible and effective interpretation services, combined with a decision support tool with standard clinical recommendations, may have contributed to equitable care. PMID: 32056327 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 13, 2020 Category: Emergency Medicine Authors: Altman D, Sun B, Lin B, Baecker A, Samuels-Kalow M, Park S, Shen E, Wu YL, Sharp A Tags: Acad Emerg Med Source Type: research

Care transition decisions after a fall-related ED visit: a qualitative study of patients' and caregivers' experiences.
CONCLUSIONS: Older adults presenting to the ED after a fall report physical limitations and a prominent fear of falling after their injury. Caregivers play a vital role in securing the home environment, the SNF placement decision-making process, and navigating the transition of care between the ED, SNF, and outpatient visits after a fall. Clinicians should anticipate and address feelings of isolation, changes in mobility, and fear of falling in older adults seeking ED care after a fall. PMID: 32053283 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 13, 2020 Category: Emergency Medicine Authors: Gettel CJ, Hayes K, Shield RR, Guthrie KM, Goldberg EM Tags: Acad Emerg Med Source Type: research

Evolution of methodology and reporting of emergency medicine quantitative research over a 20-year period.
We examined original research articles published every fifth year over a 20-year period (1997-2017) in six emergency medicine (EM) journals (Ann Emerg Med, Acad Emerg Med, Eur J Emerg Med, Emerg Med J, Am J Emerg Med, Emerg Med Australas). Explicit data extraction of 21 article characteristics was undertaken. These included regional contributions, specific article items and research methodology. RESULTS: 2152 articles were included. Over the study period, the proportional contributions from the USA and the UK steadily fell while those from Australasia, Europe and 'other' countries increased (p
Source: Accident and Emergency Nursing - February 11, 2020 Category: Emergency Medicine Authors: Smith J, Date P, Spencer W, de Tonnerre E, Taylor DM Tags: Emerg Med J Source Type: research

Wellness for the future: Cultural and systems-based challenges and solutions.
Abstract The goal of the 2019 Society for Academic Emergency Medicine (SAEM) Consensus Conference was to explore the current cultural and systemic issues in Emergency Medicine that impact the individual well-being of every emergency physician, and to make recommendations for future study. Burnout is epidemic in emergency medicine. Physician wellness is required to enhance patient clinical outcomes as well as to ensure professional satisfaction and longevity. For conference preparation, a consensus steering committee was created, and a decision was made to use the groundbreaking model of the National Academy of Med...
Source: Accident and Emergency Nursing - February 9, 2020 Category: Emergency Medicine Authors: Sikora RD, Manfredi RA, Chung A, Kaplan JA, Tyo CJ, Akhtar S, Significant subcommittee contributors Tags: Acad Emerg Med Source Type: research

The Efficacy of Ketamine Administration in Prehospital Pain Management of Trauma Patients; a Systematic Review and Meta-Analysis.
Abstract Introduction: Although previous articles and reviews suggest that ketamine might effectively manage pain in trauma patients, these articles have serious limitations. Accordingly, the current meta-analysis aims to investigate the efficacy of ketamine administration in prehospital pain management of trauma patients. Method: In the present meta-analysis, controlled human studies were included. An extensive search was conducted in electronic databases including Medline (via PubMed), Embase, Central, Scopus, Web of Science, and ProQuest, gathering data to the end of 2018. The efficacy and side effects of ...
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Yousefifard M, Askarian-Amiri S, Rafiei Alavi SN, Sadeghi M, Saberian P, Baratloo A, Talebian MT Tags: Arch Acad Emerg Med Source Type: research

Spontaneous Retroperitoneal Hematoma and Membranous Glomerulonephritis; a Case Report.
We describe a patient with a rare presentation of SRH and membranous glomerulonephritis with diffuse visceral arterial micro aneurysms due to medium to small size vasculitis and weakly positive antinuclear antibody (ANA). To the authors' knowledge, this is a unique report, which does not have any serologic confirmation of specific vasculitis. PMID: 32021983 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Sabzghabaei F, Babaei MR, Moradi A, Shakiba B Tags: Arch Acad Emerg Med Source Type: research

Characteristics of S100B and Neuron Specific Enolase in Differentiating Acute Vertigo Cases with Central Cause; a Diagnostic Accuracy Study.
Abstract Introduction: Differentiating central vertigo from peripheral ones poses a challenge to specialists. The present study aimed to examine the potential screening value of S100B and neuron-specific enolase (NSE) in this regard. Methods: This prospective cross-sectional study recruited adult acute vertigo patients with suspected central causes visiting the emergency department (ED) in the first six hours since the onset of symptoms. The screening performance characteristics of S100B and NSE biomarkers in differentiating central vertigo cases were measured considering brain magnetic resonance imaging (MRI...
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Mozafari J, Motamed H, Masoumi K, Hanafi MG, Fahimi MA, Derakhshani Z, Ehyaie F Tags: Arch Acad Emerg Med Source Type: research

Characteristics and Outcome of Abdominal Aortic Aneurysm in Emregncy Department; a 10-year Cross-sectional Study.
This study aimed to evaluate the characteristics and outcome of patients presenting to emergency department with triple A. Methods: In this retrospective cross-sectional study, all cases with confirmed triple A, who were presented to the emergency department of Shohadaye Tajrish Hospital, Tehran, Iran from 2006 to 2017 (10 years) were enrolled using census sampling method. Results: 500 cases with the mean age of 68.11 ± 11.98 (25 - 94) years were studied (84% male). The mean duration of symptoms was 2.32 ± 9.58 months and mean aneurysmal size was 63.91 ± 20.08 mm. In 4 (0.8 %) cases, atrial f...
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Forouzanfar MM, Barazesh F, Hashemi B, Safari S Tags: Arch Acad Emerg Med Source Type: research

Intravenous Magnesium Sulfate for Pain Management in Patients with Acute Renal Colic; a Randomized Clinical Trial.
Conclusion: It seems that Mg sulfate, as a muscle relaxant agent, can be considered as a safe adjunct medication in controlling the pain of renal colic patients in the ED. PMID: 32021986 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Majidi A, Derakhshani F Tags: Arch Acad Emerg Med Source Type: research

3-Month Outcome of Ischemic Stroke Patients Underwent Thrombolytic Therapy; a Cohort Study.
This study aimed to assess the 3-month outcome of patients who underwent thrombolytic therapy following ischemic stroke. Methods: In the present prospective cohort study, the 3-month outcome of patients (mortality, disability) with acute ischemic stroke admitted to neurology department an educational hospital, Kermanshah, Iran, from 2016 to 2019, who had received thrombolytic therapy was assessed. National Institute of Health Stroke Scale (NIHSS) and Modified Rankin Score (MRS) were used for measuring the degree of disability (on admission, at the time of discharge and 3 months after thrombolytic therapy). Result...
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Sari Aslani P, Rezaeian S, Safari E Tags: Arch Acad Emerg Med Source Type: research

Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study.
Conclusion: pTIRC decision rule was introduced in the present study. pTIRC has excellent performance in identification of traumatic intrathoracic injuries and decreasing the number of unnecessary chest radiographs. PMID: 32021988 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Yousefifard M, Hosseini M, Parvizi MR Tags: Arch Acad Emerg Med Source Type: research

The Effects of Open and Closed Suction Methods on Occurrence of Ventilator Associated Pneumonia; a Comparative Study.
Conclusion: It seems that type of endotracheal suction system (OSST vs. CSST) had no effect on occurrence of VAP and other outcomes such as duration of need for MV and ICU stay as well as mortality. PMID: 32021989 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Ardehali SH, Fatemi A, Rezaei SF, Forouzanfar MM, Zolghadr Z Tags: Arch Acad Emerg Med Source Type: research

Creatine phosphokinase, a new marker in diagnosis of tubal ectopic pregnancy; A Systematic Review.
Conclusions: The results highlighted the potential benefits of CPK as a marker for early diagnosis of EP. PMID: 32021990 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 7, 2020 Category: Emergency Medicine Authors: Ghorbani M, Keramat A, Mohsenzadeh Ledari F Tags: Arch Acad Emerg Med Source Type: research

Hot off the Press: Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting?
Abstract Elderly patients frequently present to the emergency department with nonspecific complaints and it falls to the emergency physicians to determine whether a workup for acute coronary syndrome is warranted. We discuss a study by Wang et al published in Academic Emergency Medicine, January 2020, looking at the value of troponin testing in elderly patients presenting to the emergency department with nonspecific complaints. We provide critical analysis of the article, and summarize the social media discussion and a podcast in which the authors discuss their work. PMID: 32027434 [PubMed - as supplied by pu...
Source: Accident and Emergency Nursing - February 6, 2020 Category: Emergency Medicine Authors: Morgenstern J, Heitz C, Bond C, Milne WK Tags: Acad Emerg Med Source Type: research

Centers for Disease Control and Prevention Recommendations for Hepatitis C Testing: The Need to Adapt Universal Screening in an Appalachian Emergency Department.
Abstract BACKGROUND: The Centers for Disease Control and Prevention recommends screening baby-boomers and high-risk patients for hepatitis C virus (HCV); however, the incidence of HCV is rapidly increasing among younger populations, and screening is limited by access to care and risk factor assessment. The purpose of this study was to evaluate characteristics of HCV antibody-positive (Ab+) and ribonucleic acid (RNA) confirmed positive patients identified via two screening models in an Appalachian emergency department (ED). METHODS: This was a retrospective cohort study of patients who screened HCV Ab+ in the ...
Source: Accident and Emergency Nursing - February 4, 2020 Category: Emergency Medicine Authors: Wojcik EM, Sharon MJ, Davis SM, Lander OM, Burrell CN Tags: Acad Emerg Med Source Type: research

Confidence at 100%: Characteristics of likelihood ratio confidence intervals in the emergency medicine diagnostics literature.
CONCLUSION: This analysis provides systematic evidence of diagnostic test reporting in the EM literature. Sample sensitivity or specificity of 100% is common. LRs and their associated 95% CI are infrequently reported, particularly for PSSS samples. When the LR CI is reported in this scenario, it is overly wide. Improved reporting and methods can enhance the utility and confidence in diagnostic tests in emergency medicine. PMID: 32011039 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 3, 2020 Category: Emergency Medicine Authors: Friedman AB, Marill KA Tags: Acad Emerg Med Source Type: research

Accuracy of Physical Examination and Imaging Findings for the Diagnosis of Elevated Intracranial Pressure.
Abstract Elevated intracranial pressure (ICP) is a common but severe complication of several medical and traumatic conditions.1,2 Prolonged increases in ICP are associated with poor patient outcomes in a variety of conditions, including traumatic brain injury (TBI), spontaneous subarachnoid or intracerebral hemorrhage, space-occupying lesion, meningitis, cerebral infarct, and cerebral edema from hepatic encephalopathy.3-5 Invasive ICP monitoring is the reference standard for cases suspected of increased ICP but is not universally available and has several potential complications, including intracranial infection a...
Source: Accident and Emergency Nursing - January 29, 2020 Category: Emergency Medicine Authors: Long B, Koyfman A, Gottlieb M Tags: Acad Emerg Med Source Type: research